Ghastly treatment for difficult cases (and difficult people).
One of the Kennedys -- Rosemary Kennedy -- was lobotomized, though perhaps it didn't involve an ice pick. She was mildly retarded, and would make inappropriate comments during lavish Kennedy dinner parties. They had her institutionalized, and then acquiessed with the doctors, who thought it best that they perform the procedure (lobotomy). It did not go well. After the operation she became severely retarded, and couldn't look after herself. She needed constant care.